Susan L Allen, D.O.
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Muncie, IN
NPI 1114129202 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114129202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 02003122A (IN)
- Practice address
- 2401 W University Ave
Muncie, IN 47303-3428 - Phone
- (765) 747-3260
- NPI assigned
- Jun 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 02003122A | IN | Yes |
Addresses
Primary practice location
2401 W University Ave
Muncie, IN 47303-3428
Mailing address
429 W Charles St Apt 1
Muncie, IN 47305-2305
Phone (513) 310-0063
Other providers in Muncie, IN
- All About People Transport,LLC
- Allcare Dental & Dentures of in PC
- Elizabeth Kate Allen-Scott
- Cynthia J Allen
- Michael Norman Allen
- Allergy Associates of Central in
- Mansour R Almnajam
- Alternative OT Services
- Oyi Celestine Amasiani
- Denisse Ambler
All providers in Muncie, IN · Anatomic Pathology & Clinical Pathology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.